{
"description": "This operation is used to submit a Pre-Authorization Claim Request for adjudication as a Bundle containing the PASClaimRequest and other referenced resources for processing. The only input parameter is the single Bundle resource with a PASClaimRequest instance (along with other referenced resources) and the only output is a single Bundle with a PASClaimResponse (and other referenced resources) or an OperationOutcome resource. This is a variant of the FHIR Core Claim $submit operation.",
"_filename": "OperationDefinition-Claim-submit.json",
"package_name": "hl7.fhir.us.davinci-pas.r4",
"date": "2023-12-01T20:58:53+00:00",
"system": false,
"publisher": "HL7 International / Financial Management",
"instance": false,
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "ClaimSubmit",
"type": "true",
"experimental": null,
"outputProfile": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle",
"resourceType": "OperationDefinition",
"title": "Submit a Claim resource for adjudication",
"package_version": "2.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 3,
"_valueInteger": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
} ]
}
} ],
"status": "draft",
"id": "a7590017-a388-45d5-a5b3-593003a8e578",
"resource": [ "Claim" ],
"kind": "operation",
"url": "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit",
"code": "submit",
"base": "http://hl7.org/fhir/OperationDefinition/Claim-submit",
"version": "2.0.1",
"contact": [ {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://hl7.org/Special/committees/fm",
"system": "url"
}, {
"value": "fmlists@lists.hl7.org",
"system": "email"
} ]
}, {
"name": "Jean Duteau",
"telecom": [ {
"value": "mailto:jean@duteaudesign.com",
"system": "email"
} ]
}, {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ],
"inputProfile": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle",
"parameter": [ {
"max": "1",
"min": 1,
"use": "in",
"name": "resource",
"type": "Bundle",
"documentation": "A Bundle containing a single Claim plus referenced resources."
}, {
"max": "1",
"min": 1,
"use": "out",
"name": "return",
"type": "Bundle",
"documentation": "A Bundle containing a single ClaimResponse plus referenced resources."
} ]
}